Individual
GLADYS MANIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 947-9426
Mailing address
10616 DEERING AVE, CHATSWORTH, CA 91311-2234
(818) 468-7200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13503
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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